Outreach Home Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OUTREACH HOME HEALTH SERVICES, INC

Practice address

2446 San Gabriel Blvd Ste a
Rosemead, CA 91770-3672

Phone

(626) 288-1100

Fax

(626) 288-1151

NPI assigned

Oct 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Aguilar, R.N.

Title

Director of Patient Care Services

Phone

(626) 288-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058294

Legal name

OUTREACH HOME HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 23, 2005

Last certification

Sep 12, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 26, 2002 in CA

Enrollment address

1170 Durfee Ave
Ste J
South El Monte, CA 91733-4400
HHA Branch

Listed as

Outreach Home Health Services, IncCCN 058294

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Feb 23, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Randolph Betts, M.D.

  • Family Medicine Physician
  • Covina, CA
  • NPI 1932113685

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tuong T Ha, M.D.

  • Internal Medicine Physician
  • Covina, CA
  • NPI 1568447860

  Home health agency

  Care Compare affiliation
• James T. Lin, M.D.

  • Anesthesiology Physician
  • Thousand Oaks, CA
  • NPI 1821009580

  Home health agency

  Care Compare affiliation
• Tomas A Sevilla, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1922189125

  Home health agency

  Care Compare affiliation
• Michael Minche Wang, MD

  • Internal Medicine Physician
  • Covina, CA
  • NPI 1588623045

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023105194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 SAN GABRIEL BLVD STE A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703672",
            "telephone_number": "626-288-1100",
            "fax_number": "626-288-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 SAN GABRIEL BLVD STE A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703672",
            "telephone_number": "626-288-1100",
            "fax_number": "626-288-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE SERVICES",
        "authorized_official_telephone_number": "626-288-1100",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Orial
• Diana Cristina Ortiz
• Precious Desire Ortiz
• Patricia Osegueda
• Ray Ming Ou, PT
• Richard Raul Pacheco
• Pacific Clincs
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics

• Home Health Agency in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.